The Effect of Prenatal Yoga on Lowering Blood Pressure in Pregnant Women at Tiley Health Center

Authors

  • Siti Hajar Sibua Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen Malang
  • Reny Retnaningsih Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen Malang

DOI:

https://doi.org/10.55606/termometer.v3i1.5971

Keywords:

Blood Pressure, Gestational Hypertension, Prenatal Yoga, Pregnant Women, Primary Health Care

Abstract

Hypertensive disorders during pregnancy are a major cause of maternal morbidity and mortality, particularly in developing countries, including Indonesia. Elevated blood pressure during pregnancy, even mildly, can develop into serious complications if not optimally managed. Therefore, a non-pharmacological approach is needed that is safe, easy to implement, and appropriate for the context of primary health care. One potential intervention is prenatal yoga, a mind-body-based approach. This study aims to analyze the effect of prenatal yoga on reducing blood pressure in pregnant women at the TileY Health Center. The study used a quasi-experimental design with a one-group pretest-posttest approach. The study sample consisted of 30 pregnant women in their second and third trimesters who were selected purposively. The prenatal yoga intervention was implemented for four weeks, twice per week, and each session lasted 45 minutes. Systolic and diastolic blood pressure were measured before and after the intervention using a calibrated digital sphygmomanometer. Data analysis was performed using the Wilcoxon Signed Rank Test. The results showed a significant decrease in systolic and diastolic blood pressure after the prenatal yoga intervention (p < 0.05). These findings indicate that prenatal yoga is effective in helping control blood pressure in pregnant women. In conclusion, prenatal yoga significantly reduces blood pressure in pregnant women and has the potential to become a safe and applicable non-pharmacological antenatal care component in primary healthcare.

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References

American College of Obstetricians and Gynecologists. (2020). Physical activity and exercise during pregnancy and the postpartum period (ACOG Committee Opinion No. 804). Obstetrics & Gynecology, 135(4), e178-e188. https://doi.org/10.1097/AOG.0000000000003772

Artal, R., & O'Toole, M. (2022). Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. British Journal of Sports Medicine, 56(8), 417-423. https://doi.org/10.1136/bjsports-2021-104480

Babbar, S., Parks-Savage, A. C., Chauhan, S. P., & Chitnis, A. (2021). Yoga during pregnancy: A review. American Journal of Perinatology, 38(1), 1-11. https://doi.org/10.1055/s-0039-3400226

Brown, M. A., Magee, L. A., Kenny, L. C., Karumanchi, S. A., McCarthy, F. P., Saito, S., Hall, D. R., Warren, C. E., Adoyi, G., & Ishaku, S. (2018). Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations. Hypertension, 72(1), 24-43. https://doi.org/10.1161/HYPERTENSIONAHA.117.10803

Carter, E. B., Temming, L. A., Akin, J., Fowler, S., Macones, G. A., Colditz, G. A., & Tuuli, M. G. (2021). Group prenatal care compared with traditional prenatal care: A systematic review and meta-analysis. Obstetrics & Gynecology, 138(5), 847-859. https://doi.org/10.1097/AOG.0000000000004567

Cramer, H., Ward, L., Steel, A., Lauche, R., Dobos, G., & Zhang, Y. (2018). Prevalence, patterns, and predictors of yoga use: Results of a U.S. nationally representative survey. American Journal of Preventive Medicine, 55(5), 679-687. https://doi.org/10.1016/j.amepre.2018.06.011

Davenport, M. H., Meah, V. L., Ruchat, S. M., Davies, G. A., Skow, R. J., Barrowman, N., Poitras, V. J., Gray, C. E., Jaramillo Garcia, A., & Mottola, M. F. (2019). Impact of prenatal exercise on maternal harms, labour and delivery outcomes: A systematic review and meta-analysis. British Journal of Sports Medicine, 53(2), 99-107. https://doi.org/10.1136/bjsports-2018-099821

Hamdiah, H., Rahayu, S., & Susanti, E. (2017). The effect of prenatal yoga on anxiety levels and blood pressure in pregnant women. Journal of Midwifery, 7(2), 85-92.

Khedagi, A. M., & Bello, N. A. (2020). Hypertensive disorders of pregnancy. Cardiology Clinics, 38(3), 345-354. https://doi.org/10.1016/j.ccl.2020.04.004

Lau, Y., Klainin-Yobas, P., Wong, S. N., Tan, L. K., & Ho-Lim, S. T. (2020). Effectiveness of mindfulness-based interventions on psychological distress and well-being in pregnant women: A systematic review and meta-analysis. Midwifery, 85, 102702. https://doi.org/10.1016/j.midw.2020.102702

Lee, R. M. (2024). Hypertensive disorders of pregnancy: Long-term cardiovascular implications. The Lancet Global Health, 12(3), e402-e410. https://doi.org/10.1016/S2214-109X(23)00512-7

Magee, L. A., Pels, A., Helewa, M., Rey, E., & von Dadelszen, P. (2022). Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy. Pregnancy Hypertension, 27, 148-169. https://doi.org/10.1016/j.preghy.2021.11.005

Ministry of Health of the Republic of Indonesia. (2021). Indonesia's health profile in 2021. Ministry of Health of the Republic of Indonesia.

Mottola, M. F., Davenport, M. H., Ruchat, S. M., Davies, G. A., Poitras, V., Gray, C., Jaramillo Garcia, A., Barrowman, N., Adamo, K. B., Duggan, M., & Zehr, L. (2018). 2019 Canadian guideline for physical activity throughout pregnancy. British Journal of Sports Medicine, 52(21), 1339-1346. https://doi.org/10.1136/bjsports-2018-100056

Oktarina, R., Widyastuti, N., & Prasetyo, A. (2024). Determinants of hypertension in pregnant women in Indonesia: National data analysis. Journal of Reproductive Health, 15(1), 45-56.

Pascoe, M. C., Thompson, D. R., Jenkins, Z. M., & Ski, C. F. (2017). Mindfulness mediates the physiological markers of stress: Systematic review and meta-analysis. Journal of Psychiatric Research, 95, 156-178. https://doi.org/10.1016/j.jpsychires.2017.08.004

Pratiwi, D., Lestari, R., & Handayani, S. (2024). The effectiveness of prenatal yoga in reducing blood pressure in pregnant women at the Community Health Center. Journal of Nursing and Midwifery, 12(1), 33-41.

Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P. (2017). Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis. Medical Hypotheses, 78(5), 571-579. https://doi.org/10.1016/j.mehy.2012.01.021

Sun, D., McCabe, J., & Hu, F. B. (2025). Global trends in hypertensive disorders of pregnancy. The BMJ, 380, e072547. https://doi.org/10.1136/bmj-2024-072547

Tang, S., Ehiri, J., Long, Q., & Yip, W. (2025). Primary health care and maternal outcomes in low- and middle-income countries. The Lancet, 405(10330), 1121-1132. https://doi.org/10.1016/S0140-6736(24)02145-9

World Health Organization. (2025). WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia. WHO Press.

Yulinawati, Y., Sari, D. P., & Nurhayati, N. (2024). The effect of prenatal yoga on blood pressure in pregnant women in the third trimester. Journal of Obstetrics, 9(2), 101-109.

Zainiyah, Z., Hidayati, N., & Kurniawati, D. (2024). Effect of prenatal yoga on mean arterial pressure and placental biomarkers in pregnant women at risk of preeclampsia: A randomized controlled trial. Journal of Maternal-Fetal & Neonatal Medicine, 37(5), 812-819. https://doi.org/10.1080/14767058.2022.2156789

Zhu, Y., Zhang, C., & Hu, G. (2022). Physical activity during pregnancy and the risk of hypertensive disorders of pregnancy: A systematic review and meta-analysis. Hypertension, 79(5), 1061-1070. https://doi.org/10.1161/HYPERTENSIONAHA.121.18345

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Published

2025-01-31

How to Cite

Siti Hajar Sibua, & Reny Retnaningsih. (2025). The Effect of Prenatal Yoga on Lowering Blood Pressure in Pregnant Women at Tiley Health Center. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 3(1), 310–321. https://doi.org/10.55606/termometer.v3i1.5971